Dear AHNS ATC Program Directors,

Please complete the form below to confirm your support in your fellow’s participation in the 2021-2022 AHNS Transoral Robotic Training Curriculum for Fellows. This includes an on-demand didactic course as well as a hands-on training session on-site with da Vinci robots.

If you fellow agrees to attend one of the didactic or hands-on training sessions, please ensure their time away is approved/accommodated in order to prevent any last minute cancellations especially for any of the hands-on training. Any cancellations within two weeks of a hands-on training will result in disqualification of receiving a certificate of completion for the curriculum.